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1215192372
BAYSHORE MEDICAL GROUP P L
TAMPA, FL
NPI
1215192372
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Entity Type
Organization
Authorized Contact
YASHITALA AGZEW
Member
813-716-6959
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
BAYSHORE MEDICAL GROUP P L
19947 TAMIAMI AVE
TAMPA, FL 33647-3366
Phone number: 813-716-6959
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Mailing Address
BAYSHORE MEDICAL GROUP P L
19947 TAMIAMI AVE
TAMPA, FL 33647-3366
Phone number: 813-716-6959
Copy
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